Individual
DR. PAUL FRED IVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001122
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001617760
HIGHMARK BCBS
PA
01
—
0016651
DORAL
PA
05
—
1036189
—
PA
01
—
201215
UPMC
PA
01
—
3501749
AETNA
PA
01
—
35415
ADVANTRA
PA
01
—
35419
HLTH ASSURANCE/HLTH AMER.
PA
01
—
396038
NVA
PA
01
—
542145620
VISION SERVICE PLAN
PA
01
—
5463570001
DME REGIONAL CARRIER
PA
01
—
5620390
CIGNA
PA
01
—
P00155884
PALMETTO GBA RR MEDICARE
PA
01
—
PA96116
VISION BENEFITS OF AMER.
PA
Enumeration date
08/22/2005
Last updated
03/12/2010
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